Chapter 646

Surgery, not to mention that doctors sent by different students have different effects. Even if two disciples taught by a master, the effects of surgery are very different.

The simplest thing is that before and after the winter and summer holidays every year, the little demons often see them in the hospital, crying and holding disposable paper cups and walking crabs.

In addition, after the annual recovery season, the hairy boys come to the hospital for secondary development after seeing the world in the army.

For this foreskin operation, all major departments have broken their heads. Pediatric surgery, urology and general surgery can do it. Even male doctors in obstetrics and Gynecology can give you a hammer.

Not for others, because the operation cost is directly the small treasury of the Department, so there are many departments rushing to do it. The leaders turn a blind eye. This kind of pure manual work, as long as it is not too much

However, this operation is also very susceptible to infection. Doctors with good techniques have little damage. After completion, the wound can be said to be pink, pink, white and red. It is very cute. Therefore, the probability of infection is less.

The poor doctor, holding an electric knife, is like giving people criminal law. He burns people's small (a) Ji (a) Ji like a carbon rod in a battery. His face is disgusting.

Can it not be infected!

This is a small operation. Different doctors do it differently, not to mention a large cancer operation.

In some hospitals, after gastric cancer surgery, patients can live longer. In some hospitals, after surgery, patients don't go home long before they

There are two difficulties in gastric cancer. First, the reconstruction of remnant stomach and intestine. Second, lymph node dissection around the gastric body. These two obstacles, sometimes, are the threshold of a doctor's life.

Not to mention whether it is good or not, whether it can be done is a problem.

……

After Zhang Fan changed his master's position, the operation speed also increased a lot. After all, his age is here. Moreover, Zhang Fan has no complex emotional factors for single old people in his heart. He can make better choices.

To tell you the truth, Chinese people's senses of meatball country are very complex, but they are not rivals in medical treatment, especially in the treatment of digestive tract, or even rivals.

The five-year survival rate after gastric cancer surgery is about 30% in China, slightly higher in Europe and America, but not much higher. But in Marubeni, it was 30% in the 1960s, and now it has exceeded 70%.

Marubeni's ability to be a Taoist priest in a lion's shell is really no joke. In particular, their diagnosis of gastric cancer is almost 10% in the world, and they have reached 40% early.

From Qiu Zu, Mr. Lu learned a thorough western traditional technique, but after coming to Qingniao, he also had a lot of contact with the medical community in maruzi country.

Although I'm old now and can't keep up with my ideas, I still have my eyes.

"I think the things on the greater omentum are very dangerous. Total cutting or?"

Lu Lao gave way to the position of the main knife, but he still couldn't rest assured completely.

"Cut it all! We can't afford to gamble. Old man Shan doesn't have a second chance of surgery. "

In fact, when he opened his abdominal cavity and smelled, Zhang Fan had decided on the operation method in his heart.

"The total cut damage is not small, his body foundation..." Lu said with a little hesitation.

This is that once the operator and the patient have a relationship, there are too many problems involved. After all, not everyone can give up seven emotions and six desires in life.

Zhang Fan paused slightly, took his gloved hands out of old man Shan's abdominal cavity bloody and gently, then looked up and looked at old Lu: "master, now is not the time to hesitate.

It's better to survive incomplete than to spread after discharge. "

On the operating table, to tell you the truth, Zhang Fan is alone and more dominant, that is, Lu is old. If it was someone else, it is estimated that Zhang Fan would have been unhappy.

Lu Lao looked at Zhang Fan's firm eyes and sighed gently, "OK, cut it all, let's start."

Speaking, Zhang Fan bowed his head and began.

"Gauze!" Zhang Fan wants to pass gauze, one hand gauze, one hand two finger zen, straight into the bottom of the stomach.

For the clarity of the surgical field of vision, Zhang Fan's requirements have reached the point of metamorphosis.

Some doctors don't know whether the operation is done or not, but they can hardly see his operation vision. There are blood spills and rivers of blood everywhere.

Zhang Fan is different. Regardless of the size of the bleeding, it will be considered in advance. Even if there are variant blood vessels, there will be corresponding surgical measures.

The powerful systematic training made Zhang Fan's brain cut human organs countless times like a slicer, and let Zhang Fan learn again and again.

Therefore, Zhang Fan's operation field is very clean, just like an operation on a mannequin. There is no bleeding. It's so cow!

"Clean, there's no superfluous action under your hands! The idea is also very clear. It's a good seedling. "

In the electric classroom, the mediocre general foreign affairs director carefully looked at Zhang Fan's operation process and gently couldn't help boasting.

"I don't think he is a seedling. He has become a big tree with his own technique.

Director Chen, have you found out that Dr. Zhang never does the operation of turning back, which shows that he is very confident in every step of his operation. "

After hearing the words of director Chen of the golden mean, the director of general foreign affairs of 30x said his own ideas.

"Yes, you're right, and I also found one thing. His technique is not very similar to that of Lu Lao. What do you think?"

"Well, I have the same feeling. Teacher Lu from Qiu Zu should be refined.

However, Dr. Zhang's technique always gives me a feeling of infinite accuracy in opening and closing.

It's a bit of drawing on the strengths of many families. His technique can be said to be similar to Wu instead of Lu Lao! "

With that, he also felt incredible and looked at the 30x general foreign affairs director around him.

Both of them saw a feeling of seeing ghosts and dogs from each other's eyes.

Doctors at their level, without saying anything else, took unknown talents and unknown students.

But there has never been a student like Zhang Fan. At Zhang Fan's age, most of them are still studying for a master's degree, and the better ones are still studying for a doctor, that is, most of them have not jumped out of the category of student apprentices.

But Zhang Fan, the feeling he gives others is that he has already got a master's degree and jumped out of his doctor's degree. He has a self temperament and an independent line of work.

Their surprise was not over. Then, Zhang Fan brought them greater surprise.

Because the operation has reached the first routine difficulty, gastrointestinal reconstruction.

Gastric cancer, what do you want to do and how to do it.

In fact, it means to cut off the stomach, and then directly connect the esophagus or remnant stomach to the intestines, so that food can smoothly enter the intestines from the mouth for digestion and then be discharged. That's what it means.

Everything, once it comes to reengineering and starting over, is not very simple.

The reconstruction of the stomach is much more difficult.

The esophagus is a meat channel, and then the intestine is also a meat channel. The diameter between them is almost the same.

The stomach is like a ball hanging on two meat channels.

It can be said that if something you eat from your mouth can come out of your stomach, it can be discharged from the anal (a) door. For example, if a monkey eats nuts, it must first be stuffed into the anal (a) door. As long as it doesn't hurt, it will be stuffed into your mouth. Once it hurts a little, it will never eat.

Why? Many, many careless parents watch their children. One accidentally swallows a foreign object, such as a glass ball, a small iron ball, and even other foreign objects.

At this time, the child's parents are worried and take the child to the hospital. The doctor will let the child drink the same thin paste as lime water for a perspective and a perspective.

At this time, it's not the doctor who is bothering the parents. If the iron ball or foreign body can pass through the connection between the stomach and the intestines, it's no big deal. Just stare at the toilet. The parents can definitely hear a jingle.

If you can't pass the pass of the stomach, then it's a big deal. Don't underestimate this matter. Once the foreign body is stuck here, you can only split your stomach and take it out. Therefore, especially those with children at home, you must be careful.

For the resection of gastric cancer, the stomach should be cut first as the name suggests, and then the intestines should be connected to the esophagus.

This is the difficulty. A poor doctor, after this reconstruction, the patient really suffered a great crime.

Eat a little more, or feel a little uncomfortable, and then start vomiting!

If you encounter a special type of infarction, wait until the pressure of the digestive tract breaks through the infarction.

My darling, which vomit is very terrible.

Directly like a jet gun, it's not puff, puff, it's directly puff! Boom! Vomit.

Bile, food residues and intestinal contents come out directly from the mouth. Green, purple and black bile, green and white food residues, plus intestinal

Really, this kind of surgical reconstruction is quite exquisite.

Zhang Fan put gauze in his hand, then grabbed the greater omentum and ligated blood vessels bit by bit.

The greater omentum is actually a pearl curtain of fat particles. The yellow fat particles cover the stomach and are very slippery.

Many people like to eat fat meat and the so-called pig suet and pig neck meat. In fact, they should eat less suet and neck meat in their intestines, because this suet is actually the greater omentum.

There is not only fat, but also a lot of lymph! Glands, if there is a disease, this may be the focus, so

Zhang Fan's eyes are like a fluoroscope. Every large blood vessel and every variant blood vessel are treated by him early.

The rich vascular network has not seen any blood outflow. The electric knife passed by, a little smoke, and the greater omentum was separated by Zhang Fan.

"Clever ~!"

At this time, Lu's state of mind also adjusted a lot. After Zhang Fan skillfully and accurately separated the greater omentum, the old man couldn't help praising him.

The expert gatekeeper said that Zhang Fan's hand was separated by a coincidence. It was like a child tearing paper. It was clicking, which could give people a crisp feeling.

Lu Lao originally wanted to mention Zhang Fan, but he didn't expect that Zhang Fan's technique was too skillful, more skillful than the professor of marukuo Rice University he had seen.

Separate the omentum, Zhang fantou doesn't lift, "knife, m scissors!"

After separating the omentum and ligating the blood vessels around the stomach, Zhang Fan laid his hand on the stomach with a sharp weapon.

"Hiss!" There was a lot of cold air in the electric classroom because they saw Zhang Fan's operation.

"Lao Chen, do you think his scope is a little too large. He had such a big resection without opening his stomach? Is it a little reckless? "

The director of the golden mean asked the director of 30x around him in a low voice.

"It should not be. According to his technique and level, there will be no such mistake, but how can he determine that the cancer body in the stomach has such a large range?"

The director of 30x also wondered.

Without hesitation, Zhang Fan directly operated. The biggest advantage of Zhang Fan's system is that it allows him to exercise and hone his skills without limitation, and it can also classify various recorded surgical types of mankind for hundreds of years.

Therefore, Zhang Fan is like an old doctor with a hundred years of experience. For the estimation of this operation, Zhang fan can say that he has too much experience to refer to.

With a knife, it was like cutting a pig's stomach. Old man Shan's stomach was cut neatly by Zhang Fan.

Like taking a child by caesarean section, Zhang Fan held old man Shan's stomach out of his abdominal cavity with both hands.

For the first time, Lu opened his stomach. Like opening a pocket, the shadowless lamp went straight into his stomach.

In the remnant stomach, Zhang Fan's knife edge completely removed the gastric cancer.

"Yes! That's accurate. God, how did he judge? Even if old man Lu cut it himself, it can't be so accurate! "

In the electric classroom, some people who are qualified to call old Lu old man Lu have wide eyes!